Kim Johnson, PT is a
Physical Therapist based in Chisago City, Minnesota. Kim Johnson is licensed to practice in Minnesota (license number 4201) and her current practice location is
11725 Stinson Ave, Chisago City, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 257-8458.
NPI number for Kim Johnson is 1215008578 and her current mailing address is 5200 Fairview Blvd, Wyoming, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215008578.
Healthcare Provider's Profile
| Full Name | Kim Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 11725 Stinson Ave, Chisago City, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215008578
- Provider Enumeration Date: 11/10/2006
- Last Update Date: 12/11/2025
Medical Identifiers
Medical identifiers for Kim Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215008578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 4201 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kim Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kim Johnson, PT 5200 Fairview Blvd, Wyoming, MN 55092-8013 Ph: () - | Kim Johnson, PT 11725 Stinson Ave, Chisago City, MN 55013-9542 Ph: (651) 257-8458 |
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